In =ataxic paraplegia= there are ataxic and spastic symptoms, due to
both posterior and lateral sclerosis. Traumatism, cold and exposure are
etiologic factors. It is found in diffuse myelitis, general paresis,
leptomeningitis and in toxic conditions as in pernicious anemia. The
posterior and lateral columns are degenerated, so that in the former
there is an ascending degeneration and in the latter a descending.
=Symptoms.=—These comprise those of =tabes= and =spastic paraplegia=.
Incoordination, ataxia, lightning pains, anesthesia, rigidness of
muscles and exaggerated reflexes are the principal symptoms. The
muscles easily fatigue; sensory symptoms are not so troublesome as in
tabes; there may be visceral crises, sometimes Argyll Robertson pupil;
and possibly spasms of the upper extremities and jaw. The course of the
disease is slow.
=Diagnosis.=—This is not difficult as a rule. First, there is ataxia;
then increased reflexes, fatigue of the muscles and paraplegia. =Tumor=
of the =cerebellum= may confuse the diagnosis.
=Treatment.=—There is frequently a chance to greatly benefit these
cases, and even in some instances a cure may be performed, provided
the case is seen early. Thorough treatment of the spine to relax
the muscles and to adjust the ribs and vertebræ is the indication.
Stretching the spine, if carefully done, is beneficial. Muscular
manipulation improves the spinal cord circulation, and osseous
correction removes probable impingements to nutrient channels and
nervous influences induced by cold, exposure, traumatism and secondary
disturbances. Care of the general health, hygiene, diet, etc., are
important.